JENNIFER WOOD DOUMAS (D.O.) – Family Medicine Physician, NPI 1124038328

JENNIFER WOOD DOUMAS (D.O.) is a healthcare provider. based in Santee, California. specializing in Family Medicine Physician. They hold the professional credentials D.O.. They hold a License No. 20A5707 (CA). The NPI Number for JENNIFER WOOD DOUMAS (D.O.) is 1124038328

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER WOOD DOUMAS (D.O.)
NPI
1124038328
Phone
(619) 456-0033
Address
10538 MISSION GORGE RD
Enumeration Date
9 August 2006
Last Update Date
12 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6194560033
Graduation Year
1988 (38 years ago)
PAC ID
9739363920
Group Practice PAC ID
1557530151
Professional Enrollment ID
I20110817000425
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for JENNIFER WOOD DOUMAS (D.O.)

  • 10538, Mission Gorge Road, Santee, San Diego County, California, 92071, United States

    STE 100

    SANTEE, CA 920713154

    Phone: (619) 456-0033

    Fax: (619) 456-0095

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-08-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110817000425IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes4440$0
99204New patient office or other outpatient visit, 45-59 minutes4343$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen2828$0
81003Automated urinalysis test1717$0
87651Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique1514$0
View full utilization report →

Insurance plans in this area (ZIP 92071)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557530151View full group profile
NameSpecialtyState
Physician AssistantMT
Physician AssistantCA
Physician AssistantFL
-CA
Nurse PractitionerCA
-MO
Nurse PractitionerCA
Physician AssistantCA
-CA
Nurse PractitionerMN

Reviews

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Frequently asked questions

How do payers reference JENNIFER WOOD DOUMAS (D.O.)?
For JENNIFER WOOD DOUMAS (D.O.), use NPI 1124038328 as the unique 10-digit identifier.
Active or inactive — what applies to JENNIFER WOOD DOUMAS (D.O.)?
You should see JENNIFER WOOD DOUMAS (D.O.) as active in CMS-hosted NPPES data.
What clinical focus is listed for JENNIFER WOOD DOUMAS (D.O.)?
At a glance, JENNIFER WOOD DOUMAS (D.O.) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in California is JENNIFER WOOD DOUMAS (D.O.) registered?
Use Santee, California as the headline location for JENNIFER WOOD DOUMAS (D.O.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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